Individual ProviderVineeta BasutkarNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address757 Westwood Plz, Los Angeles, CA 90095-8358(310) 825-6301PECOS EnrollmentBased on the most recent information from CMS, provider Vineeta Basutkar is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1023487766Provider TypeIndividualFull NameBasutkar, VineetaGenderFemaleSole ProprietorYesEnumeration Date9/23/2015Last Updated1/30/2026Contact InformationPractice LocationPractice Address757 Westwood Plz, Los Angeles, CA 90095-8358Phone(310) 825-6301FaxUnlisted FaxMailing LocationMailing Address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseNP95001544CaliforniaCode207RP1001XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseNP95001544California